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European Archives of Oto-Rhino-Laryngology

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01-03-2019 | Review Article

A systematic review of current methodology of high resolution pharyngeal manometry with and without impedance

Authors: Katharina Winiker, Anna Gillman, Esther Guiu Hernandez, Maggie-Lee Huckabee, Kristin Gozdzikowska

Published in: European Archives of Oto-Rhino-Laryngology | Issue 3/2019

Abstract

Purpose

This systematic review appraises and summaries methodology documented in studies using high resolution pharyngeal manometry (HRM) with and without impedance technology (HRIM) in adult populations.

Methods

Four electronic databases CINAHL, EMBASE, MEDLINE, and Cochrane Library were searched up to, and including March 2017. Studies reporting pharyngeal HRM/HRIM for swallowing and/or phonatory assessment, published in peer-reviewed journals in English, German, or Spanish were assessed for the inclusion criteria. Of the selected studies, methodological aspects of data acquisition and analysis were extracted. Publications were graded based on their level of evidence and quality of methodological aspects was assessed.

Results

Sixty-two articles were identified eligible, from which 50 studies reported the use of HRM and 12 studies used HRIM. Of all included manuscripts, the majority utilized the ManoScan™ system (64.5%), a catheter diameter of 4.2 mm was most prevalently documented (30.6%). Most publications reported the application of topical anesthesia (53.2%). For data analysis in studies using HRM, software intrinsic to the recording system was reported most frequently (56%). A minority of the studies using HRM provided data about measurement reliability (10%). This is higher for studies using HRIM (50%).

Conclusions

Considerable methodological variability exists regarding data acquisition and analysis in published studies using HRM/HRIM. Lacking reports of methodology make study replications difficult and reduce the comparability across studies. More data regarding the impact of individual methodological aspects on study outcomes are further required for the development of methodological recommendations.

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Original publication language: “Bestimmung anhand des “zentralen Sensors” im oÖS. Ein Druckabfall um 10% markierte den Beginn der Relaxationszeit, das Ende wurde bei Wiedererreichen des gleichen Druckes mit dem Eintreffen der pharyngealen Kontraktionswelle definiert.”

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Title: A systematic review of current methodology of high resolution pharyngeal manometry with and without impedance
Authors: Katharina Winiker
Anna Gillman
Esther Guiu Hernandez
Maggie-Lee Huckabee
Kristin Gozdzikowska
Publication date: 01-03-2019
Publisher: Springer Berlin Heidelberg
Published in: European Archives of Oto-Rhino-Laryngology / Issue 3/2019
Print ISSN: 0937-4477
Electronic ISSN: 1434-4726
DOI: https://doi.org/10.1007/s00405-018-5240-9

ACC 2024 Congress

Springer Medicine

A systematic review of current methodology of high resolution pharyngeal manometry with and without impedance

Abstract

Purpose

Methods

Results

Conclusions

ACC 2024 Congress

Springer Medicine

Abstract

Purpose

Methods

Results

Conclusions

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